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remember: ask "from onset to recovery"
seizure syncope
precipitating none Valsava, emotion, Hx of heart disease
pre- symptom aura(smell) Nausea, diaphoresis, tunnel vision
transition immediate gradual(seconds, except dysrrhymia)
facial appearance cyanosis pallor
duration minutes seconds
biting tongue sometimes rare
m. aching often sometimes
incontinence sometimes sometimes
[summary]
1. falling injury -> seizure, rare syncope
2. duation -> seizure longer
3. incontinence -> ?
4. sequelae -> seizure: mental confusion, headache, drowsiness
-> syncope: physical weakness, clear sensorium
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